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Resurser för närstående på Sveriges intensivvårdsavdelningar - En kartläggning
In the care for the critically ill patient the next of kin is of great importance. Their support, love and care for the patient, increases the wellbeing and makes a connection to the patient?s normal lifeworld. For the next of kin to be able to be that support the next of kin needs to be helped to maintain the basic need of for example their sleep, food, hygiene and psychosocial support. The critical care nurse must see to the patient?s whole lifeworld which includes their next of kin.The aim of the study was to identify the resources available for the next of kin in intensive care units in Sweden.
Mödrars upplevelse av stöd vid amningsstarten
IntroductionStatistics show a declining trend despite the many benefits of breastfeeding.AimThe aim was to investigate how new mothers experienced the care associated with childbirth, with focus on breastfeeding.MethodThe study included mothers who gave birth in a hospital in the middle region of Sweden during 2011, and who responded to an online survey (n?1000). The present study was based upon answers from the open questions concerning dissatisfaction and suggestions for improvement and have been categorized using content analysis.ResultsMothers described failure in several areas, with a negative impact on breastfeeding. Many experienced that they had not been seen and treated like an individual, and that the healthcare staff had been unpleasant, impersonal, ignorant and stressed. Mothers wanted more credit from the staff concerning their own ability and some reported that they had been controlled and ?run over?.
Lev livet som ditt hjärta känner för. En litteraturstudie om rehabiliteringseffekter efter en hjärtinfarkt.
I dagens samhälle drabbas ett större antal individer av en hjärtinfarkt varje år. Bland de vanligaste komplikationer som kan uppstå efter en hjärtinfarkt är depression som kan leda till återinsjuknande eller för tidig död. Syftet med denna litteraturstudie var att studera vilka effekter rehabiliteringsprogram har på patienten efter insjuknande i hjärtinfarkt samt se om de minskar graden av depression. Metoden var en systematisk litteraturstudie som utgick från åtta kvantitativa artiklar som kvalitetsbedömdes enligt Goodmans sju steg. Den teoretiska referensramen som användes utgick från Carnevalis modell Dagligt Liv ? Funktionellt hälsotillstånd.
Preoperativ hud- desinfektion
Introduction. Infection Prevention is one of the surgical nurses' main responsibilities. One of the steps which patients undergo in this purpose before surgery is the preoperative skin desinfektion. Background. The patient washes the day before surgery with Descutan cutaneous sponge 4 %, a sponge containing chlorhexidine.
Faktorer som stör patientens sömn under sjukhusvistelsen samt sjuksköterskans omvårdnadsåtgärder för att främja sömnen : En litteraturstudie
Background: Sleeping is a condition that is necessary for all people because the body isgiven time to recover. Studies have shown that patients found it difficult to sleep during thehospital stay and it turned out to be several factors that disturbed the sleep during the night.The nurse should note the patient?s need for sleep and take into account environmental andother sleep disturbances to be able to implement nursing interventions. Purpose: The purposeof this study was to elucidate the factors that interfere with patient?s sleep duringhospitalization and nursing care to promote the patient?s ability to sleep.
Utsövd eller sömnlös? : En begreppsutredning om nattsömn på sjukhus
Sömnen är livsviktig för alla människor eftersom det är den tid då kroppen återhämtar sig och behovet av sömn blir därför speciellt viktigt vid sjukdom. Forskning har visat att sjukhusmiljön inte alltid är optimal för att främja sömn, något som vi själva också upplevt under kliniska studier. Syftet med studien var att klargöra vilken betydelse sömn har och hur sömnen kan förstås i relation till hälsa och välbefinnande för patienten i sjukhusmiljön. Studien är en begreppsanalys där sömn har sökts och analyserats i lexikon, vetenskapliga artiklar och facklitteratur. Resultatet visar att sömnen är den tid då kroppen samlar kraft och immunförsvaret byggs upp.
Man har ju i alla fall tak över huvudet : En kvalitativ studie om natthärbärgets effekter på hemlösas självupplevda psykosociala hälsa
This is a qualitative study, whose purpose is to examine if night shelters effects homeless peoples self-perceived psychosocial health. In Sweden alone there are almost 18000 homeless people, and 12% of them uses a night shelter. The homeless can?t be seen as a heterogeneous group but instead homelessness counts as a state of being in. The Swedish National Board of Health and Welfare have done mapping over the homelessness since 1993 and the problem is an important part of what the welfare system has to fight against.
Patienters skattning av hindrande smärta och self-efficacy före och efter diskbråcksoperation
Objectives: The purpose of the study was to examine if a pre- and post-operative difference could be seen in self-reported pain disability and self-efficacy among patients undergoing surgery as treatment for spinal disc herniation in order to improve process of rehabilitation.Method: A quantitative and descriptive design was used. 10 patients awaiting surgical treatment for spinal disc herniation were included at Akademiska sjukhuset (The Academic Hospital) in Uppsala. Participation was voluntary and the selection was made by convenience. Data was collected using The Pain Disability Index and Self-Efficacy Scale by which the patient would estimate how hindered they felt because of their pain in everyday activities and their self-efficacy to perform everyday activities. This was done the day before surgery and two weeks after surgery.
Att dela information. En fallstudie av en akutmottagnings förbättringsarbete
The purpose of this paper is to examine information sharing in a hospital organization that is undergoing reorganization. The aiming is to make all employees at all levels actively involved in business development in order to create a smooth and, from a patient?s perspective, adequate emergency care. The paper suggests that the theory of social capital can explain the complexity of what motivate and what promote individuals to share information. The method used in the paper is the case study, focusing on detecting, interpreting and gaining insight on how information shares in an emergency department.
Arbetsförmedlingen : - en arbetsplats i behov av förändring?
Den här undersökningen syftar till att svara på huruvida arbetsförmedlare anser arbetsförmedlingen som officiell institution behövs. Vidare undersöks arbetsmiljö, stress, stressorer och arbetsförmedlares bedömning av sin egen arbetsinsats. Undersökningen är kvantitativ och i form av enkät. Studien är begränsad till Gävleborgs län. Undersökningen bygger på 3 enkäter Arbetsförmedlares syn på sin arbetsinsats (ASSA) samt Percieved Stress Scale (PSS) och Hospital Anxiety and Depression Scale (HAD).
Utvärdering av prototypen för ett kollaboratorium inom biblioteks- och informationsvetenskap
This study is a formative evaluation of a prototypecollaboratory for sharing data collection instruments inlibrary and information science (LIS). The aims were to findout: how the study participants, five hospital librarians,experienced the interaction with the prototype while workingwith predetermined tasks; and their views on the differentfunctions of the prototype collaboratory.Methods used for data collection was as a survey; followedby a think-aloud session where the participant verbalisedhis/her thoughts during the interaction with the prototype;and finally a semistructured interview. The survey wasanalysed with a frequency distribution, while the data fromthe other methods were analysed qualitatively by extractingthemes from the transcribed sessions.The results show that although the librarians expresseddifferent problems while working with the interface, mainlyrelated to the language in the prototype collaboratory anddifficulties with the page for applying metadata, all of themwere confident in being able to learn the system after using itfor a while. The librarians had a positive attitude towardssharing data collection instruments as well as comments inthe prototype collaboratory. At the same time, they wereaware that students and researchers might have differentabilities or incentives to work and share information.
...tills döden skiljer oss åt : närståendes närvaro vid återupplivning : närstående och sjuksköterskors upplevelser : en litteraturstudie
Inledning: I Sverige drabbas årligen ca 10 000 personer av hjärtstopp, av dem överlever ca 300 personer. Under 2005- 2008 drabbades 2973 personer av hjärtstopp på sjukhus, av dessa kunde endast 30 % skrivas ut levande. Bakgrund: De första fallen av närståendes närvaro vid återupplivning inträffade vid Foote Hospital i Michigan, USA, 1982. Personalen blev då tvungna att ifrågasätta sina egna riktlinjer som uteslöt närstående vid återupplivning. Internationella riktlinjer för hjärt- lungräddning (HLR) rekommenderar att närstående bör få närvara vid återupplivning.
Styrning mot förändring: En fallstudie rörande organisatorisk förändring i offentlig sektor
This paper examines and analyzes effects of the introduction of a new management control system tool within a Swedish public health organization, the Södra Älvsborg hospital, and its possible effect on organizational change. The new management control system tool, known as the SÄS-model, has been widely criticized for being too costly and with too small positive effects to be shown. Our approach has with that as a background been to examine whether the implementation of the SÄS-model and its balanced scorecard has been able to result in effects regarding organizational change. We have through a case study aimed to analyze how a management control system, much alike one that is typically used within foremost private organizations, can promote organizational change. Our results suggest that the implementation of the SÄS-model and the balanced scorecard has given the organization clearer visions and goals.
Akta er för dörrarna - en observationsstudie av dörröppningar i en hybridsal
SUMMARYPrevious research has shown that there is a connection between the doorways and postoperative wound infections. Despite recommendations from Socialstyrelsen and the individual hospitals' PM there is still high traffic in the operating theatres. In a hybrid theatre environment combined X-ray techniques of surgery, resulting in it being further two categories inside the operating theatre. This may generate an increase in traffic flow. The study is a prospective, non-participant observation study conducted in the spring of 2013 at a university hospital in western Sweden.
Hjärtsäkerhet på svenska hälso- och fitnessanläggningar
In the United States, see recommendations for cardiac safety of sports arenas but also to health and fitness facilities. However, this does not exist in Sweden today. Objective: The purpose of this study is to identify the health- and fitness facilities today are equipped with respect to cardiac safety and specifically relating to preparedness for cardiac arrest. Method: Quantitative data are collected and compiled with the help of a questionnaire. The questionnaire contained 19 questions in total.